Page:DHHS Pub 96-101 NIOSH Guide to the Selection & Use of Particulate Respirators Certified Under 42 CFR 84.pdf/20

APPENDIX A

PART 11 AND PART 84 LABELS FOR VARIOUS FILTERS

PART 11 LABEL FOR HEPA FILTER

 

PERMISSIBLE

PERMISSIBLE PARTICULATE FILTER RESPIRATOR FOR DUSTS, FUMES, AND MISTS, INCLUDING
ASBESTOS-CONTAINING DUSTS AND MISTS, AND RADIONUCLIDES

MINE SAFETY AND HEALTH ADMINISTRATION
NATIONAL INSTITUTE FOR OCCUPATIONAL
SAFETY AND HEALTH

U.S. Department of Health and Human Services
Centers for Disease Control and Prevention
NIOSH
National Institute for Occupational Safety and Health

United States Department of Labor
MSHA
Mine Safety and Health Administration

APPROVAL NO. TC-21C-XXX

ISSUED TO

ABC Company
Anywhere, USA

 

LIMITATIONS

Approved for respiratory protection against dusts, fumes and mists having a fine-weighted average of less than 0.05 milligram per cubic meter, including asbestos-containing dusts and mists, and radionuclides.

Not for use in atmospheres containing toxic gases or vapors.

Not for use in atmospheres immediately dangerous to life or health. Not for use in atmospheres containing less than 19.5% oxygen.

CAUTION

In making renewals or repair, parts identical with those furnished by the manufacturer under the pertinent approval shall be maintained.

Follow the manufacturer's instructions for changing filters.
This respirator shall be selected, fitted, used and maintained in accordance with the regulations of the Mine Safety and Health Administration, the Occupational Safety and Health Administration, and other applicable agencies.

 

MSHA/NIOSH Approval TC-21C-XXX
Issued to ABC Co. February 31, 1990

The approved assembly consists of the following parts:

000-000
000-000
etc.